Two Cases of Acute Respiratory Distress Syndrome with High Values of Chlamydophila pneumoniae-Specific Antibodies
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概要
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We herein report two cases of acute respiratory distress syndrome (ARDS) with high values of Chlamydophila pneumoniae-specific antibodies. In the first case (a 65-year-old man), high levels of anti-C. pneumoniae antibodies (IgG and IgA) were detected on admission, and the anti-C. pneumoniae IgA level rose by Day 30. The patient was successfully treated with quinolone and steroids. In the second case (an 85-year-old man), abnormally high levels of anti-C. pneumoniae IgM were detected on admission. The patient did not recover, despite receiving treatment with several antibiotics and anti-inflammatory agents. Neither of the patients displayed other pathogen-specific antigens or antibodies. Chlamydophila pneumonia is usually mild, although it can cause severe interstitial pneumonia and ARDS in reinfected patients and the elderly.
- 社団法人 日本内科学会の論文
著者
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OIKAWA Takuya
Departments of Clinical Pharmacology and Therapeutics, Tohoku University Graduate School of Pharmace
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Yoshida Kazunori
Department Of Cardiovascular Medicine Faculty Of Medicine Tottori University
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Igusa Ryotaro
Department Of Respiratory Medicine Osaki Citizen Hospital
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Nakamura Atsushi
Department Of Applied Physics Faculty Of Science Fukuoka University
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Narumi Sodai
Department Of Respiratory Medicine Tohoku University Hospital
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Ota Kozo
Department Of Internal Medicine Osaki Citizen Hospital
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Kobayashi Takafumi
Department of Bioengineering and Robotics, Graduate School of Engineering, Tohoku University, 6-6-01 Aza-Aoba, Aramaki, Aoba-ku, Sendai 980-8579, Japan
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Shibahara Taizou
Department of Respiratory Medicine, Tohoku University Hospital, Japan
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Kawana Sachiko
Department of Respiratory Medicine, Osaki Citizen Hospital, Japan
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Kobayashi Takafumi
Department of Anesthesiology, Osaki Citizen Hospital, Japan
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Ota Kozo
Department of Internal Medicine, Osaki Citizen Hospital, Japan
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Oikawa Takuya
Department of Internal Medicine, Osaki Citizen Hospital, Japan
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